Closing the Gap in Aboriginal and Torres Strait Islander Youth Suicide: A Social–Emotional Wellbeing Service Innovation Project

Skerrett, Delaney Michael; Gibson, Mandy; Darwin, Leilani; Lewis, Suzie; Rallah, Rahm; Leo, Diego De

doi:10.1111/ap.12277

Cited by 25 publications

(55 citation statements)

References 27 publications

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“…Allen et al 14 had a high risk of attrition bias from differential withdrawal across groups. Skerrett et al 27 and Nathan et al 32 had high risks of attrition bias as non-completers differed from completers. Eight other studies had unclear risks of bias for incomplete outcome data, as they did not report either attrition or differences between study completers and non-completers.…”

Section: Resultsmentioning

confidence: 99%

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Global systematic review of the effects of suicide prevention interventions in Indigenous peoples

Leske

Paul

Gibson

et al. 2020

J Epidemiol Community Health

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ObjectiveSuicide rates are often higher in Indigenous than in non-Indigenous peoples. This systematic review assessed the effects of suicide prevention interventions on suicide-related outcomes in Indigenous populations worldwide.MethodsWe searched CINAHL, Embase, PubMed, PsycINFO, ProQuest Dissertations & Theses and Web of Science from database inception to April 2020. Eligible were English language, empirical and peer-reviewed studies presenting original data assessing the primary outcomes of suicides and suicide attempts and secondary outcomes of suicidal ideation, intentional self-harm, suicide or intentional self-harm risk, composite measures of suicidality or reasons for life in experimental and quasi-experimental interventions with Indigenous populations worldwide. We assessed the risk of bias with the Cochrane Risk of Bias Tool and the Risk of Bias Assessment for Non-randomised Studies.FindingsWe included 24 studies from Australia, Canada, New Zealand and the USA, comprising 14 before–after studies, 4 randomised controlled trials (RCTs), 3 non-randomised controlled trials, 2 interrupted time-series designs and 1 cohort study. Suicides decreased in four and suicide attempts in six before–after studies. No studies had a low risk of bias. There was insufficient evidence to confirm the effectiveness of any one suicide prevention intervention due to shortage of studies, risk of bias, and population and intervention heterogeneity. Review limitations include language bias, no grey literature search and data availability bias.ConclusionFor the primary outcomes of suicides and suicide attempts, the limited available evidence supports multilevel, multicomponent interventions. However, there are limited RCTs and controlled studies.

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Section: Resultsmentioning

confidence: 99%

“…A programme including health promotion, spiritual and intergenerational trauma elements observed reductions in the suicidal ideation mean score postintervention (Cohen’s d=0.41) and slightly (Cohen’s d=0.10) at 2-month follow-up. 27…”

Section: Resultsmentioning

confidence: 99%

Global systematic review of the effects of suicide prevention interventions in Indigenous peoples

Leske

Paul

Gibson

et al. 2020

J Epidemiol Community Health

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“…4 Despite this notion, and the high levels of poor mental health, 2 the efficacy of treatments has rarely been assessed in controlled trials. 5 An urgent priority exists for the treatment of mental illness, and specifically depression, in this population. Major barriers (cultural, economic and geographic) exist to the utilisation of the limited ambulatory services available.…”

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confidence: 99%

Australian Indigenous model of mental healthcare based on transdiagnostic cognitive–behavioural therapy co-designed with the Indigenous community: protocol for a randomised controlled trial

et al. 2020

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Background A four- to seven-fold increase in the prevalence of current mood, anxiety, substance use and any mental disorders in Indigenous adults compared with non-Indigenous Australians has been reported. A lifetime prevalence of major depressive disorder was 23.9%. High rates of comorbid mental disorders indicated a transdiagnostic approach to treatment might be most appropriate. The effectiveness of psychological treatment for Indigenous Australians and adjunct Indigenous spiritual and cultural healing has not previously been evaluated in controlled clinical trials. Aims This project aims to develop, deliver and evaluate the effectiveness of an Indigenous model of mental healthcare (IMMHC). Trial registration: ANZCTR Registration Number: ACTRN12618001746224 and World Health Organization Universal Trial Number: U1111-1222-5849. Method The IMMHC will be based on transdiagnostic cognitive–behaviour therapy co-designed with the Indigenous community to ensure it is socially and culturally appropriate for Indigenous Australians. The IMMHC will be evaluated in a randomised controlled trial with 110 Indigenous adults diagnosed with a current diagnosis of depression. The primary outcome will be the severity of depression symptoms as determined by changes in Beck Depression Inventory-II score at 6 months post-intervention. Secondary outcomes include anxiety, substance use disorder and quality of life. Outcomes will be assessed at baseline, 6 months post-intervention and 12 months post-intervention. Results The study design adheres to the Consolidated Standards of Reporting Trials (CONSORT) statement recommendations and CONSORT extensions for pilot trials. We followed the Standard Protocol Items for Randomised Trials statement recommendations in writing the trial protocol. Conclusions This study will likely benefit participants, as well as collaborating Aboriginal Medical Services and health organisations. The transdiagnostic IMMHC has the potential to have a substantial impact on health services delivery in the Indigenous health sector.

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“…A small number of culturally validated measures (e.g. the Here and Now Aboriginal Assessment, Westerman Aboriginal Symptom Checklist, Strong Souls Inventory, Negative Life Events Scale) have been developed, implemented and evaluated in relation to assessing various domains of SEWB (Janca et al 2015;Kowal, Gunthorpe & Bailie 2007;Newton et al 2015) and how they change over time as a result of the very few promising programs and services within Australia (Day & Francisco 2013;Day et al 2016;Skerrett et al 2017). However, while beneficial to Aboriginal and Torres Strait Islander communities and peoples, their applicability, feasibility, reliability and validity within the context of out-ofhome care warrants further investigation.…”

Section: Psychological Assessments and Outcome Measuresmentioning

confidence: 99%

Psychology without culture is almost dead: A case of Aboriginal and Torres Strait Islander children in Australian out-of-home care

Hameed

Coade

2018

IJCIS

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From its inception as a unique discipline, the broad field of psychology has made substantial advances and has contributed to innovative practices in the care of individuals presenting with mental distress within Western Euro-American societies and cultures. The aim of this brief article is to provide a constructive critical analysis of the key limitations, knowledge shortfalls, ineffective assessment approaches and treatment modalities of “mainstream” psychology in addressing the psychological needs of children affiliating with the Aboriginal and Torres Strait Islander culture in Australian out-of-home care. This article selectively draws from an in-depth analysis of the research literature and argues that in its current state, psychology without consideration of Indigenous culture has failed to satisfactorily improve psychological services and outcomes for these children and their families; in other words, psychology without culture is almost dead. This brief article raises various questions for future psychological research within this field and proposes feasible alternatives to these complex issues, supported by successful examples from the child abuse and neglect domain within the child welfare systems in Australia. It concludes with key recommendations for future appropriate inclusive psychological research, with the ultimate goal of strengthening culturally endorsed “healing” practices, service delivery and policies.

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Closing the Gap in Aboriginal and Torres Strait Islander Youth Suicide: A Social–Emotional Wellbeing Service Innovation Project

Cited by 25 publications

References 27 publications

Global systematic review of the effects of suicide prevention interventions in Indigenous peoples

Global systematic review of the effects of suicide prevention interventions in Indigenous peoples

Australian Indigenous model of mental healthcare based on transdiagnostic cognitive–behavioural therapy co-designed with the Indigenous community: protocol for a randomised controlled trial

Psychology without culture is almost dead: A case of Aboriginal and Torres Strait Islander children in Australian out-of-home care

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